2. Agenda What is the My Health Record System? What information is in My Health Record? Organisational Requirements and Identifiers Accessing the My Health Record system ePIP

3. What is the My Health Record system? 1 July 2012 the Commonwealth commenced operation of national infrastructure to support a shared electronic health record (PCEHR) now called the My Health Record system. The digital My Health Record System is a secure electronic summary of a patient’s health records. It provides an active online record from different sources that over time will follow patients as they move through Australia’s health system. My Health Record

4. What is the My Health Record system? Opt-in* system for health practices, health professionals; and consumers. is not a replacement for existing medical records will not replace the healthcare professional’s role does not replace direct communication with patients and other providers is another source of information, but may not always be current or complete [details should always be confirmed with the patient] * Two pilot sites in NSW and Far Nth Qld are trialling a consumer opt out model.

5. How does the MeHR (NT) differ from the National system? MeHR (NT)  Northern Territory  Rich clinical information built over last 10 years  Pathology  Cannot be viewed by patients  Link to RHD register My Health Record (National) Australia wide Currently has limited information No pathology (as yet) Can be access by patients who can alter information No access to RHD register Has information from three sources, Health Professional, Medicare and patient Strict security and legislation and heavy fines for misuse

6. My Health Record System is growing! My Health Record System is growing! Over 2.5 Million people have a record An extra 1 Million to get a My Health Record during participation trials Over 2.9 Million Prescription and Dispense records 8,010 Healthcare providers registered to use the system Over 337,000 Clinical Document Uploads Including 260,000 hospital discharge summaries 470 public hospitals and health centres 24 private hospitals

7. What information is in My Health Record? Information in a My Health Record comes from three main sources: Health professionals Patients Medicare

8. What information is in My Health Record? Information from health professionals: Shared health summaries Event summaries eDischarge summaries Prescription and dispense records Specialist letters eReferral letters

9. What information is in My Health Record? Information from Medicare: Medicare claims data Pharmaceutical Benefits Scheme Australian childhood immunisation register Australian organ donor register DVA claiming events

10. What information is in My Health Record? Patient entered information: Personal medications and allergies summary * can only be viewed though CIS that have included this functionality) Child development information Personal health notes * cannot be viewed by health professionals Advanced care directive custodian contact details

11. Organisational requirements for the My Health Record system To access and use the My Health Record system organisations must have: Healthcare Provider Identifier - Organisation (HPI-O) National Authentication Service for Health Public Key Infrastructure (NASH PKI) Conformant clinical information system My Health Record participation agreement My Health Record organisational policies My Health Record Assisted Registration policy (if providing assisted registration for patients)

12. Identifiers Identifiers Operated by the Department of Human Services which allocates a unique 16- digit Healthcare Identifier to individuals using healthcare services, their practitioners and healthcare organisations. They identify: HPI-OHPI-I Where the service was provided Who provided the service Who received the service IHI Healthcare identifiers ensure that the right information is associated with the right patient and the right healthcare professional.

13. ePIP ePIP From May 2016 the Practice Incentives Program eHealth Incentive (ePIP) includes a new eligibility requirement. PIP is worth up to $50,000 p/a per practice Requirement 5 - My Health Record system (new additional requirement) The Practice must: Upload a shared health summary for a minimum of 0.5% of the practice’s standardised whole patient equivalent (SWPE) count of patients per PIP payment quarter

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